Form Comparison

Unstudied Multi-Strain Blends vs Saccharomyces boulardii

How unstudied multi-strain blends and Saccharomyces boulardii differ in how they work, evidence, tolerance, and cost.

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Quick verdict. Choose S. boulardii CNCM I-745 if you want a probiotic with evidence, particularly during antibiotics, which do not kill it. Unstudied blends borrow species names from trials of specific strains and rarely state strain designations. A blend with 10 strains and 50 billion CFU is not more proven than one well-tested yeast.

Side by Side

Multi-Strain Blends (Unstudied) Saccharomyces boulardii CNCM I-745
How it works Combinations assembled for marketing rather than tested as a product. Strain designations are often missing, and CFU may be counted at manufacture rather than expiration. A yeast, so antibacterial drugs do not kill it; acts in the gut lumen and clears within days of stopping.
Typical dose Varies 250-500 mg (5-10 billion CFU) daily
Common uses general gut health (unproven) antibiotic-associated diarrhea, C. difficile recurrence (adjunct)
Side effects Gas, bloating. Rare fungemia in critically ill or catheterized patients.
Cost Moderate Moderate
Also called 50 billion CFU blends, 10-strain formulas S. boulardii, Florastor

When to Choose Multi-Strain Blends (Unstudied)

There is rarely a reason to choose unstudied multi-strain blends: choose a strain matched to a trial instead. The trials that support probiotics tested specific strains, not blends built from their species names.

Multi-Strain Blends (Unstudied)

There is rarely a reason to choose unstudied multi-strain blends: choose a strain matched to a trial instead.

What to look for: Multi-Strain Blends named on the Supplement Facts panel, with the amount per serving stated.

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When to Choose Saccharomyces boulardii CNCM I-745

Choose Saccharomyces boulardii when you are taking antibiotics and want a probiotic they will not kill. Can be taken at the same time as antibiotics, unlike bacterial probiotics.

Saccharomyces boulardii CNCM I-745

The probiotic to take alongside antibiotics, because antibiotics cannot kill a yeast.

What to look for: Saccharomyces boulardii CNCM I-745 (Florastor or equivalent), 250-500 mg daily.

Find on iHerb Affiliate link

Products on Titrate

The Probiotics category in Titrate's index holds 5,145 labels from the NIH Dietary Supplement Label Database, 2,852 of them currently on market, out of 214,745 labels indexed in total.

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Related

References

NIH Office of Dietary Supplements. Probiotics: Fact Sheet for Health Professionals.

Gionchetti P, Rizzello F, Venturi A, et al. Oral bacteriotherapy as maintenance treatment in patients with chronic pouchitis: a double-blind, placebo-controlled trial. Gastroenterology. 2000;119(2):305-309.

Whorwell PJ, Altringer L, Morel J, et al. Efficacy of an encapsulated probiotic Bifidobacterium infantis 35624 in women with irritable bowel syndrome. Am J Gastroenterol. 2006;101(7):1581-1590.

Hill C, Guarner F, Reid G, et al. Expert consensus document: The International Scientific Association for Probiotics and Prebiotics consensus statement on the scope and appropriate use of the term probiotic. Nat Rev Gastroenterol Hepatol. 2014;11(8):506-514.

Szajewska H, Kołodziej M. Systematic review with meta-analysis: Saccharomyces boulardii in the prevention of antibiotic-associated diarrhoea. Aliment Pharmacol Ther. 2015;42(7):793-801.

Goldenberg JZ, Yap C, Lytvyn L, et al. Probiotics for the prevention of Clostridium difficile-associated diarrhea in adults and children. Cochrane Database Syst Rev. 2017;12(12):CD006095.

Suez J, Zmora N, Zilberman-Schapira G, et al. Post-antibiotic gut mucosal microbiome reconstitution is impaired by probiotics and improved by autologous FMT. Cell. 2018;174(6):1406-1423.

Ford AC, Harris LA, Lacy BE, Quigley EMM, Moayyedi P. Systematic review with meta-analysis: the efficacy of prebiotics, probiotics, synbiotics and antibiotics in irritable bowel syndrome. Aliment Pharmacol Ther. 2018;48(10):1044-1060.

Guo Q, Goldenberg JZ, Humphrey C, El Dib R, Johnston BC. Probiotics for the prevention of pediatric antibiotic-associated diarrhea. Cochrane Database Syst Rev. 2019;4(4):CD004827.

Su GL, Ko CW, Bercik P, et al. AGA clinical practice guidelines on the role of probiotics in the management of gastrointestinal disorders. Gastroenterology. 2020;159(2):697-705.